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Title
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Improving Patient Safety and Minimizing Alarm Fatigue through Effective Alarm Management.
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Creator
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De Leon, Jizzel Anne Velasco, Little, Barbara B.
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Abstract/Description
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Abstract Purpose: The purpose of this quality improvement (QI) project was to develop, implement and evaluate an Alarm Management QI Program in an intensive care unit (ICU) of a community hospital. The specific aims of the project were to reduce the number of ECG and pulse oximetry nuisance alarms, increase RN knowledge of alarm management and improve RN competency in management of ECG and pulse oximetry alarms. Methods: An online education program was developed and required for all ICU...
Show moreAbstract Purpose: The purpose of this quality improvement (QI) project was to develop, implement and evaluate an Alarm Management QI Program in an intensive care unit (ICU) of a community hospital. The specific aims of the project were to reduce the number of ECG and pulse oximetry nuisance alarms, increase RN knowledge of alarm management and improve RN competency in management of ECG and pulse oximetry alarms. Methods: An online education program was developed and required for all ICU nursing staff. In addition, RN alarm management competency was validated through a peer review process. A descriptive comparison design was used to examine the effectiveness of this quality improvement program. Results: The number of alarms elicited during the period of study significantly improved (p < 0.05) as a result of the educational program. Pre and posttest scores also showed improvement from a mean score of 57% to 78%. Competency validation results confirmed the majority of the peer review participants performed the expected practices. Conclusions: The Alarm Management Quality Improvement Program demonstrated positive changes to staff knowledge and competency, as well as the overall alarm occurrences in the unit after the intervention. Healthcare facilities can improve patient safety and minimize alarm fatigue by establishing alarm management policies, providing education and utilizing peer review to assure staff competency.
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Date Issued
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2018-04-16
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Identifier
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FSU_libsubv1_scholarship_submission_1523563144_99236d7d
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Format
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Citation
